Organization
SOUTH DALLAS INFUSION CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHESH B KOTTAPALLI MD (PRESIDENT)
(972) 283-2370
Entity
Organization
Contact information
Practice address
2727 BOLTON BOONE DR STE 109A, DESOTO, TX 75115-2019
(972) 283-2370
(972) 588-1041
Mailing address
PO BOX 678057, DALLAS, TX 75267-8057
(972) 283-2370
(972) 588-1041
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2011
Last updated
10/28/2020
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